The development and application of 3D technology in thoracic surgery

doi:10.3877/cma.j.issn.1674-6899.2021.06.014

Abstract

Abstract:

Computer technology has undergone more than 70 years of development. It was only in the 1990s that video assisted thoracic surgery (VATS) was truly integrated with clinical medicine, especially in the field of thoracic surgery. In the following 30 years, thoracic surgery has completed various operations under the guidance of VATS as the main surgical method and has developed to this day. In recent years, computer hardware technology and software level has undergone breakthrough development. All kinds of special equipment and supporting software have been combined with various medical specialties, forming a system with different technical characteristics of various professions with composite technology support. In the field of thoracic surgery, there have been a large number of applications and research explorations in diagnosis, small pulmonary nodules localization, and treatment. This article reviewed techniques to localize small pulmonary nodules, including CT-guided methylene blue positioning, CT-guided percutaneous puncture medical glue positioning, CT-guided cook microcoil positioning, CT-guided Hook-Wire puncture positioning, and electromagnetic navigation positioning and shared some experience in the application of some technologies in medical center the author working for. In the treatment of thoracic diseases, 3D technology has shown its advantages in precise sublobar lung resection, while 3D printing technology completed complex operations such as sternocostal reconstruction, airway stent insertion, bone joint reconstruction, etc. and achieved satisfactory results through personalized additive manufacturing technology. It is believed that, in the future, with the development, application and better combination of 3D technology and thoracic surgery technology, the value of digital 3D technology in clinical applications can be better brought into play, resulting in better social and economic benefits, and benefiting more and more patients.

Key words: Digital 3D technology, Thoracic surgery, Pulmonary nodules localization

Yingxue Lin, Chaoyang Liang, Yang Liu, Chengrun Li. The development and application of 3D technology in thoracic surgery[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(06): 379-384.

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Figures/Tables 6

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